Dental care questions
8 years ago
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Comments (12)I just ran across this old thread, so perhaps it is too late now. Just in case, here are some comments: When there simply "is no other alternative" to restoring a badly decayed or broken down tooth, then crowns are a good way to go. However, they should only be done as a last resort. 1) Preparing a tooth for a crown involves drilling it down to a tiny peg. All the enamel is removed and some of the dentin as well. This can be traumatic for the pulp chamber and as a result, having a tooth crowned does increase the chance that you will need a root canal in the future. It is also completely irreversible. Once done, there is no going back. 2) There is also increased risk of periodontal disease around crowns, since the margins are more difficult to keep clean. Also, in some folks, their gum tissue is just not that compatible with the porcelain or gold, which can cause gingivitis that is difficult to resolve. 3) When initially placed, the crown goes below the gumline to protect the underlying tooth structure from future decay. However, your gums recede over your lifetime which means that after a few years, you will see a gap between where the crown stops and your tooth begins. This is especially noticable in anterior teeth, which is the case here. 4) We now have many improved composite filling materials (white) available and these are placed using bonding and light curing techniques. As a result, they are much stronger than in the past and if it were me, this is where I would start. This type of restoration requires a dentist that is highly skilled and patient. They also do not make as much $$ as they would for doing a crown. (This is not necessarily to imply that your dentist's motivation is financial. It may or it may not be). I have several large restorations in my upper anterior teeth as well. I can also get just about anything done that I want to for free (other than the lab bill), but there is NO way that I will ever have these teeth crowned. Lynne...See MoreDental Implant vs Cantilevered Bridge?
Comments (25)Mary: Does an implant mean that your tooth will die? Or can they preserve the root in spite of the screw? And I think that a peg tooth is a full sized tooth that has been shaved/drilled down so that a crown can fit snuggly over it. A peg tooth is a livng tooth, but all of the enamel is gone and it is somewhat pointed. I do have a crown on a peg tooth. Do not look in the mirror when they are mounting your crown. The peg tooth, which is in fact the size of a baby tooth, is really, really different looking. The word that best describes it is scary. I try to avoid looking into my dentist and his assistant's glasses/eye protectors when that tooth is exposed. Because my mouth looks like something out of a horror movie with the exposed peg tooth in the open gum of a full sized tooth. I lost my two front teeth in a bicycle accident when I was about nine, one tooth finally died when I was in my twenties, and now I have beautiful crowns in front. I just got back today from having two old crowns removed, decay cleaned out along the gum line, and am awaiting two new crowns. My teeth have posts in them (does that make them implants?) already, so I am only paying for new crowns. Between our insurance and our medical reimbursement account, I'm not paying for this work directly. Our medical reimbursement account gave us a "credit card" to pay for our health care expenses. It's extremely convenient. It seems like you've gotten great advice Mary. Save that tooth. Unless you love eating firm or highly sticky foods (like those suckers, what are they called? "something daddies" that are perfect for removing certain types of dental work), give this tooth time. Keep your mouth cleaned and floss gently to prevent decay around the base of the tooth. If you can keep your mouth clean and healthy, and avoid hitting your mouth or eating difficult to chew foods (or biting pens, apples, nuts, hard candy, nails etc), I would think that you could wait a half a year. Because we are on a tight budget, we have to alternate my DHs and my dental work with orthodonture for seven kids, I have postponed dental work for years (not root canals but cavities) but just keeping my mouth clean and maintaining twice a year check ups. Finally, if you want to whiten your teeth, pick a nice bright shade for your crown. I didn't choose the ultra white "A" grade that everyone who works in my dentists office has, but sort of a soft, mellow white, the "B" grade. Still white, but not the "you need your sunglasses to look at my smile" white. I really wish God had given us three sets of teeth....See MoreQuestion on Kitty Dental Needs
Comments (5)Dental care is very important for cats, as well. You should really get them to the vet for complete medical and dental check-ups. I got my cat as an ASPCA rescue. She had been seized for neglect, and, when I got her, she had all kinds of problems including rotted and rotten and broken teeth and gums. Since then, she's had to have two major cleanings and extraction sessions (many teeth) and has had many teeth break off at the gumline each year. Do yourself and the cats a favor and get to the vet. If you have to, I think that Bachs formula (Rescue Remedy) is okay to calm cats--ask your vet before giving it to them--in order to get them to the vet. Also, if they need dental surgery, there are 2 kinds of anesthesia-- one is pretty safe; the other pretty scary and dangerous. Check it out before letting them touch your cats. Finally, if they'll let you, brush their teeth daily -- you can use regular gauze and rub their teeth and gums or get cat toothbrushes (one for each). Sorry that this is so long....See MoreDo you have individual health care? Question
Comments (184)I know I've said this before but as a Canadian I had to have emergency surgery at the ER earlier this year. Walked in, didn't even have my health card because it was expired, walked out later that night never having signed anything or pay a cent. called the billing clerk at the hospital the next week with my new expiry date and she already had it. No muss no fuss no worries and no cash involved. I pay approximately 50% of my income in taxes and federal contributions off the top plus 15% sales tax on many items and services and I'm happy to do so. In return I have access to equitable and excellent public schools, Canada pension plan and employment insurance. Oh and it takes about 15 minutes to do my tax return. there are four main ways the Canadian System saves money and promotes efficiency: 1. Prices for services are set by the provincial governments who act as the public insurer. as we discussed for example a single issue office visit at a GP is $30 In my province. 2. A whole huge layer of middleman and complexity is removed because the system is so simple. What might be a whole wing for billing in an American hospital is a room in a Canadian hospital. Not to mention we don't have intermediate insurers taking a cut. 3. Government negotiate the price of prescription drugs. 4. Family doctors are trained to act as gatekeepers and cost managers. For example if they can solve your problem they wont refer you to a specialist. there's no such thing as an MRI on demand In Nova Scotia unless you want to pay $900 for a private one. This is the most frustrating aspect of the system. but it does make sense, essentially if you're demanding a bunch of testing that doesn't fit the gold standard of care you were likely to be denied....See More- 8 years ago
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